Revision Rhinoplasty Q&A
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Problems Became Worse After Revision Rhinoplasty

asked 3 years ago by anon
Latest answer by Shahram Salemy, MD
Question viewed 986 times
Tags: nose, crooked, tip

I had Revision Rhinoplasty on May 4th. It seems that the problems that were meant to be corrected are now only exaggerated. My septum is still leaning SEVERELY to the right and the tip of my nose is still round and hard on the left side, which shows when my head is turning slightly to the left. But it's smooth when my head is turned to the right. I had a closed rhinoplasty and the incision was made on the right side of my nose. Is this likely to correct itself? Please don't say in time.

3 answers to Problems Became Worse After Revision Rhinoplasty

+1

Revision Rhinoplasties require more time to heal vs. Primary Rhinoplasties

Revision rhinoplasty is probably one of the more challenging procedures we perform, and it requires a skilled surgeon who not only understands your anatomy, but understands what was previously done and what your goals are. In general, I find that patients need more time to heal and see the final result after revisions, up to a year or more. This is the reality, and any attempt to perform another procedure on you prior to that would not be a wise choice in my opinion. That being said, I... more
+1

Healing is a biologic process that is not 100% predictable

Without photos and knowing the details of your injury and intraoperative details, it is impossible to say. Scar tissue and swelling bulds up and settle down over a period of months to years. You may not want to hear in time, but that is the reality of heaing. The only way to definitively straighten a nose is to rigidly fix it to counter the effects of healing and scar contraction. This would likely take grafts from either the ear or ribs or skull or hip bone. It can be a major procedure and... more
+1

Realistic expectations following revision "rhinoplasty"

A few points: First, "in general" one must be careful about timing with respect to doing revision rhinoplasties. In your case, IF you were to have yet another procedure, this would be considered a "tertiary" rhinoplasty. The problem is that your nose is still healing, and in fact the tissues are VERY ACTIVELY going through the healing process assuming that May 4th was several weeks ago - 2009. So except for minor revisions, most surgeons would not consider performing... more

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